title: Sudden death due to hydatid disease: a six-year study in the northern part of Tunisia.
abstract: Human ecchinococcosis also known as hydatid disease is a zoonotic infection caused by the tapeworm Ecchinococcus with 2-3 Million cases worldwide. We hereby report a 6 years period study of Sudden death due to hydatidosis aiming to analyze the epidemiological criteria, death circumstances, and autopsy observations attributed to hydatid disease. During the past 6 years, 26 death cases were due to hydatid disease. Our analysis shows that the sex ratio (M/F) was 1.6, the mean age was 31-year old, and 65% of the subjects lived in rural places. In 17 cases, death occurred in the victim's place, five victims died after a heavy exercise, and in two cases, death occurred immediately after trauma. At autopsy, 91% of the cysts were found in the liver. In three cases, death followed a septic state, and in two cases, it followed an acute respiratory failure. Death was attributed to anaphylaxis in 17 cases.
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Mehdi Ben
authors.initials: MB
authors.lastname: Khelil
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Allouche
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Banasr
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Fatma
authors.initials: F
authors.lastname: Gloulou
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Anis
authors.initials: A
authors.lastname: Benzarti
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Mongi
authors.initials: M
authors.lastname: Zhioua
authors.affiliation: Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.|Service d'Anatomie Pathologique, Hôpital La Rabta, Tunis, 1007, Tunisia.
authors.forename: Slim
authors.initials: S
authors.lastname: Haouet
authors.affiliation: Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.|Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.
authors.forename: Moncef
authors.initials: M
authors.lastname: Hamdoun
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000707:Anaphylaxis / Q000401:mortality; D001157:Arterial Occlusive Diseases / Q000209:etiology; D001929:Brain Edema / Q000473:pathology; D002648:Child; D003645:Death, Sudden / Q000453:epidemiology*; D004438:Ecchymosis / Q000473:pathology; D004443:Echinococcosis / Q000401:mortality*; D004890:Erythema / Q000473:pathology; D005260:Female; D049429:Forensic Pathology; D006333:Heart Failure / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000473:pathology; D008875:Middle Aged; D011654:Pulmonary Edema / Q000473:pathology; D012131:Respiratory Insufficiency / Q000401:mortality; D012189:Retrospective Studies; D012421:Rupture; D018805:Sepsis / Q000401:mortality; D017678:Sex Distribution; D014416:Tunisia / Q000453:epidemiology
keywords: anaphylaxis; autopsy; echinococcosis; forensic pathology; forensic science; hydatidosis; sudden death